Abaningi bezwe ngesifo esifana nesifo sikashukela esixubile. Kuyaphawuleka ezinganeni, kunezimpawu zalo, ngakho-ke inqubo yokwelashwa yalokhu kugula okunjalo ihlukile kulokho kunconywe ezinye iziguli.
Kumele kwaziwe ukuthi kunezindlela eziyisithupha ezahlukahlukene zalolu hlobo lwesifo sikashukela. Zonke zinezimpawu ezihlukile futhi zehluke kakhulu. Ngakho-ke, ukuze unqume ngokunembile ukuthi ungayiphatha kanjani le ndlela noma leloya fomu, kufanele uqonde ukuthi yiziphi izimpawu eziphawuleka ngalo.
Isibonelo, iModi 2 ibhekwa njengefomu emnene kunazo zonke. Kulokhu, cishe alikho ithuba lokuthuthukisa i-hyperglycemia esheshayo, kuyaziwa futhi ukuthi yi-8% kuphela yeziguli ezinenani eliphelele leziguli ezingaba nesifo se-ketoacidosis. Ezinye izimpawu eziphawuleka ngalesi sifo futhi ezihlukumeza iziguli kakhulu ngaleli gula akuvezwa njalo emzimbeni.
Kepha makube njengoba kungenzeka, isiguli esinalesi sifo sidinga ukusekelwa okujwayelekile, ngakho-ke kufanele njalo siphuze i-insulin ngemijovo, kumthamo odabukisa kakhulu. Futhi, yini ethakazelisa kakhulu, asikho isidingo sokwenyusa lo muthi.
Izakhamizi ezisengxenyeni esenyakatho yeYurophu, kanye namaBrithani, amaDashi kanye namaJalimane, kungenzeka zibe neMoby-ntathu. Isici saso ukuthi iqala ukuzibonakalisa ikhulile. Imvamisa, iziguli ziqaphela izimpawu zokuqala ngonyaka weshumi wokukhula kwalesi sifo. Kepha uzibonakalisa ngokushesha okukhulu futhi kuvame ukuhambisana nemiphumela eyinkimbinkimbi.
Kucace bha ukuthi ukunquma ngqo ukuthi hlobo luni lwesifo sikashukela isiguli esinalo, ukuxilonga okwenziwe kahle kuphela kuzosiza.
Kufanele kuqashelwe ukuthi kungenzeka ukuthi isifo sikashukela i-mellitus 1 lube khona. Lolu hlobo lwesifo lubonwa emaphesenti elilodwa nje azo zonke iziguli ezinale nkinga. Kepha kuphawulwa ngezimpawu ezinzima. Ngakho-ke, kudinga ukwelashwa ngokushesha nokwelashwa okuphuthumayo kwesiguli.
Amafomu ama-4 azibonakalisa ikakhulukazi kwiziguli ezisencane, okungukuthi, ngemuva kweminyaka engu-17. Futhi, umuntu akanakuthula ngeqiniso lokuthi isifo sikashukela modi 5 sifana kakhulu ezimweni zaso ku-modi 2.
Akanakho ukuqhubeka, kuphela lapha, ngokungafani nefomu lesibili, i-nephropathy yesifo sikashukela ingakhula lapha.
Isifinyezo salokhu kutholwa uqobo siveza ukuthi luhlobo oluvuthiwe lwesifo sikashukela olwenzeka kubantu abasha. Okokuqala nje leli gama laqala ukusetshenziswa emuva ngo-1975, lalichazwa ngabaphenyi baseMelika. Bathola lesi sifo sikashukela esithuthuka kancane ezigulini ezincane kakhulu, kulabo abanesifiso sokuthola lesi sifo.
Abaningi banesithakazelo embuzweni wokuthi lolu hlobo lokulimala luyingozi kangakanani. Ingozi enkulu ukuthi lesi sifo siphazamisa ukusebenza kwazo zonke ezinye izitho emzimbeni, okuyingozi ikakhulukazi ezigulini ezisencane. Ngemuva kwakho konke, kuyaziwa ukuthi ngesikhathi sokukhula kwengane kubaluleke kakhulu ukuqapha ukusebenza kahle kwazo zonke izitho zayo nokuvimbela ukuthuthukiswa kwanoma yikuphi okunye ukugula.
Yebo, isifo sikashukela sivame ukuhambisana nokuphazamiseka kwe-metabolic, okungalimaza isizinda se-hormonal sesiguli esisha. Leli qembu leziguli libhaliswe ngokukhethekile nodokotela.
Lesi sifo uqobo siqala ngenxa yokuguqulwa okuthile okwenzeka ezinhlotsheni zofuzo. Ngenxa yalokhu, ukungasebenzi kahle kwamanyikwe. Lolu hlobo lokuguquka kwezakhi zofuzo luhlanganisa inqubo yokuxilongwa kwezifo. Ukutholwa kwesifo sikashukela se-mody kungenzeka kuphela kusetshenziswa indlela yokuxilongwa kwamangqamuzana. Ukuqinisekisa ukutholwa, kufanele uqiniseke ukuthi kuguqulwe uhlobo lwofuzo.
Ukuhlaziywa okungenhla kuzobonisa ukuthi iyiphi yezakhi zofuzo eziyisishiyagalombili eziguqukile, futhi mhlawumbe ungaqinisekisa ukuthi zonke zashintsha. Le miphumela, ngokuqhathanisa nezimpawu neminye imininingwane yomtholampilo, izosiza ekwakheni uhlobo lokwelashwa olulungile.
Njengoba kushiwo ngenhla, kunzima kakhulu ukukhomba izimpawu ze-modi-2. Lokhu kungenxa yokuthi kuleli fomu bacishe bangabikho ngokuphelele. Ukuxilongwa kwehardware kuphela okuzosiza lapha.
Kepha kwezinye izimo, kunesimo esithile somtholampilo sabantu abanesifo sikashukela, esizosiza ekutholeni lesi sifo. Lokhu:
- Ukuxolelwa kuthatha isikhathi esingaphezu konyaka. Azikho ngokuphelele izikhathi zokubuyiswa kwemali (okuthiwa yi-honeymoon).
- Ayikho i-ketoacidosis yesifo sikashukela.
- Amangqamuzana abhekele ukwenziwa kwe-insulin enza imisebenzi yawo kahle (lokhu kungaqinisekiswa ngokuhlaziywa, okukhombisa izinga le-C-peptide esegazini).
- Uma wethula umthamo okungenani we-insulin, lapho-ke isinxephezelo esihle sizophawulwa.
- I-Glycated hemoglobin esezingeni lamaphesenti ayisishiyagalombili.
- Awekho ama-antibodies kumaseli we-insulin beta.
I-Modi-2 noma olunye uhlobo lwalesi sifo sikashukela luyingozi ngoba cishe akunakwenzeka ukuthola ngesikhathi. Imvamisa kuqinisekiswa kuphela ngemuva kokuhlaziywa okwenziwe ngokukhethekile futhi uma isiguli sinezihlobo eziseduze nazo ezihlaselwa yisifo sikashukela. Kuyaqinisekiswa ukuthi ingane yatholakala ukuthi inesifo sikashukela sohlobo 2 ngaphambi kokufika eminyakeni engamashumi amabili nanhlanu, kepha ayinazo izimpawu zokukhuluphala.
Udinga ukuqonda ukuthi i-mobi-kishukela ayibonakaliswa nganoma iyiphi indlela, ngakho-ke kungaba nzima ukuyiqonda ezigabeni zokuqala.
Uma abazali benokungabaza okuncane ngempilo yengane yabo futhi okungenani kuvezwe uphawu oluthile lokugula, kungcono ukusixilonga ngokushesha leso sifo.
Kuyacaca ukuthi ukwelashwa kuya ngesimo sokuthuthuka kwalesi sifo. Njengasendabeni yohlobo 2 lwesifo sikashukela, ukudla okufanele futhi okunempilo kuvame ngokwanele, kanye nokujwayelekile kokusebenza komzimba.
Kufanele unakekele ukuba khona kwenani elanele lomsebenzi womzimba. Ngendlela, izivivinyo eziklanywe ngokufanele kungaba ukwelashwa okusebenzayo kakhulu.
Kufakazelwe ukuthi kwezinye izigaba zesifo sikashukela, imfundo yezomzimba isiza ukuguquguquka kwamanyikwe. Lokhu ikakhulukazi kuyi-modi-2. Kepha, okuyiqiniso, okubhanqiwe nezinye izindlela zokwelashwa, lokhu akuyona yonke into eenconyelwa odokotela. Usizo oluhle:
- I-Yoga yabanesifo sikashukela noma eminye imisebenzi yokuphefumula.
- Ukufakwa ekudleni kokudla okusiza ukwehlisa ushukela wegazi.
- Ukuthatha umuthi okhethekile wehlisa ushukela wegazi.
- Ukukhishwa ekudleni kokudla okuthosiwe, okunamafutha noma okunezipayisi ngokweqile.
- Yehlisa ukusetshenziswa kotshwala.
- Amanye amakhambi esintu (ama-infusions noma ama-decoctions wemvelaphi yezitshalo).
Nganoma uluphi uhlobo lwesifo sikashukela, kubaluleke kakhulu ukuhlola isiguli ngesikhathi. Lezi ziguli zivame ukuvakashela i-endocrinologist futhi zibhalisiwe naye, ikakhulukazi uma ingane inalesi sifo.
Kwezinye izikhathi kuba nezimo lapho izinga likashukela lijwayelekile futhi udokotela ekhansula ukuqokwa kwanoma yiziphi izidakamizwa, lokhu kwenzeka ngendlela yesibili. Imvamisa lokhu kwenzeka kwabasesezingeni lokungena ebusheni, kepha ngisho nangemva kwalokho kufanele bavakashele njalo i-endocrinologist futhi bahlolwe ngokukhethekile ukuze bangafaki zonke izinkomba futhi baqiniseke ukuthi akusaphindeki. Ividiyo ekulesi sihloko izoqhubeka nokufunda ngesifo sikashukela iMoby.
